Methicillin-Resistant Staphylococcus Aureus colonization in Iranian Health Care Workers: A Systemic Review and Meta-Analysis

Navid Mohammadi; Mohammad Ali Danesh; Abbas Allami

Journal of Inflammatory Diseases

The Official Journal of Qazvin University of Medical Sciences

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Methicillin-Resistant Staphylococcus Aureus colonization in Iranian Health Care Workers: A Systemic Review and Meta-Analysis

Author(s):

Navid Mohammadi

¹,

Mohammad Ali Danesh²,

Abbas Allami^2,*

1Department of Community and Preventive Medicine, Children Growth Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.

2Department of Infectious Diseases, Faculty of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran.

Journal of Inflammatory Diseases:Vol. 23, issue 5; 452-483

Article type:Review Article

How to Cite:Navid MohammadiMohammad Ali DaneshAbbas AllamiMethicillin-Resistant Staphylococcus Aureus colonization in Iranian Health Care Workers: A Systemic Review and Meta-Analysis.J Inflamm Dis.23(5):e156184.

Abstract

Staphylococcus aureus (SA) and especially methicillin-resistant staphylococcus aureus (MRSA) remains a major cause of healthcare-associated infections worldwide. Health care workers (HCWs) may act as reservoirs for transmission of MRSA to patients and other HCWs. The aim of this systematic review was to investigate the prevalence of SA and MRSA colonization among HCWs in Iran. The used keywords for searching were: “Iran”, “S. aureus” and “MRSA” conducted in PubMed, and Google Scholar, and two national scientific databases and proceedings of recent national conferences. The studies related to SA or MRSA prevalence in Iran published from 1993 to 2018 were included for review. Meta-analysis was performed using the Open Meta (Analyst) software. Results showed that the prevalence of SA among HCWs was 26% (95% CI=19.4-32.6%). The ratios of MRSA/total isolated SA and MRSA/total HCWs were obtained 35.4% (95% CI=29.6-41.1%) and 7.6% (95% CI= 6.4-8.8%), respectively. Older studies showed a higher prevalence compared to recent studies. The prevalence of nasal MRSA carriage among Iranian HCWs was in a range between the rates reported in the U.S/European and African countries.

Keywords

Staphylococcus aureus

Methicillin-Resistant Staphylococcus Aureus

Meta-analysis

Health care workers

Iran

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